The Science Behind Infection Prevention and Control Measures Flashcards

1
Q

There are 11 VERY important steps for Outbreak Investigation

These are SOOOO worth memorizing >=/

Sorry for how long this card is

A
  1. Prepare for the investigation
  2. Confirm the existence of an outbreak
  3. Establish or verify diagnosis
  4. Search for additional cases; collect critical data; develop a line listing; collect specimens as indicated
  5. Characterize cases of disease by person, place, and time
  6. Take immediate control measures, if indicated
  7. Formulate tentative hypothesis to explain the observations
  8. Test hypothesis
  9. Plan an additional systematic study
  10. Implement and evaluate control and preventative measures
  11. Communicate findings
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2
Q

Impact of Healthcare-Associated Infection (HAI)

A

99,000 patient deaths/year

$22-28 billion/year in US

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3
Q

In the US, ______of in patient Staphylocccal infections are due to MRSA

A

60%

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4
Q

Contact Precautions Used to prevent spread of multi-drug-resistant organisms, ex:

A

VRE, MRSA, MDR Acinetobacter, etc.

Most GI tract pathogens (C. difficile)

Wash hands, ware gloves, etc

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5
Q

When does an infection become hospital aquired

A

48 hour into hospital

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6
Q

Community-acquired (CA) pneumonia

A

Pneumonia in patient NOT hospitalized or long-term-care for ≥ 14 days before onset of symptoms

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7
Q

Healthcare-associated (HCA) pneumonia

A

Patients who were hospitalized in an acute care hospital for ≥ 2 days within previous 90 days

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8
Q

Among Enterococcus species, vancomycin resistance is now >____

A

> 30%

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9
Q

Negative Outcomes Associated With Resistant Gram-Negative Infections

A

Doubled Mortality, Length of stay, and ↑ ↑ ↑ Cost

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10
Q

Breaks down sensitivity of organisms in each hospital

A

Anabiogram

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11
Q

Contact Precautions

A
  • Private room
  • hand hygiene
  • Gloves and gowns donned prior to entry
  • Used to prevent spread of multidrug-resistant organisms
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12
Q

How long do bugs live on surfaces

A

Spore forms live REALLY long

GNR live kinda long

Gram Pos lives the shortest

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13
Q

How many people got VRE during a hospital stay

A

8 %
Rooms with more VRE gave people VRE

THANK GOD I’M STUDYING THESE DETAILS!

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14
Q

MOST IMPORTANT FACT

A

Even if you do not touch the patient, you will still get exposed
42 % got MRSA on gloves even without touching the patient

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15
Q

What’s best to prevent VRE

A

glove AND gown

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16
Q

Droplet precautions are used for

A

Flu
RSV
N. Mening

17
Q

TB precautions

A
  • Airborne - can linger in the air
  • Wear N95 mask that fits correctly (should pinch nose and go under chin to make seal)
  • Negative pressure room
18
Q

What other bug do you use TB precautions on

A

measles